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Denials Management Jobs in Virginia (NOW HIRING)

The Physician Advisor conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers, writing appeal letters) in support of the ...

Anesthesiology Physician

Suffolk, VA · On-site

$380K/yr

The Physician Advisor conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers, writing appeal letters) in support of the ...

Accounts Receivable Analyst

Richmond, VA · Remote

$23.75 - $30.25/hr

... Denials Management, Payment Posting, and Credits and Refunds, for health care provider client * Review AR aging reports and work queues to identify unpaid and delayed claims. * Follow up with third ...

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Denials Management information

See Virginia salary details

$12

$23

$42

How much do denials management jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for denials management in Virginia is $23.30, according to ZipRecruiter salary data. Most workers in this role earn between $17.40 and $25.48 per hour, depending on experience, location, and employer.

What is the role of denial management?

Denials management is a key function in healthcare billing that involves reviewing, analyzing, and resolving claim denials from insurance companies. The role requires strong attention to detail, knowledge of insurance policies, and the use of billing software to ensure claims are corrected and resubmitted efficiently to maximize revenue recovery.

What is the highest paying job in healthcare management?

In healthcare management, executive roles such as Chief Executive Officer (CEO), Chief Operating Officer (COO), or Chief Financial Officer (CFO) typically have the highest salaries, often exceeding six figures annually. These positions require extensive experience, leadership skills, and often advanced degrees like an MBA or healthcare administration certification.

What are the key skills and qualifications needed to thrive in the Denials Management position, and why are they important?

To succeed in Denials Management, you need expertise in medical billing, insurance claims processing, and healthcare regulations, often supported by a degree in healthcare administration or a related field. Familiarity with billing software, electronic health records (EHR) systems, and denial management platforms such as Epic or Cerner is highly beneficial. Strong analytical skills, attention to detail, effective communication, and persistence are essential soft skills for the role. These abilities are crucial to accurately review and resolve denied insurance claims, maximize revenue, and ensure compliance in a complex healthcare environment.

What is a Denials Management job?

A Denials Management job involves analyzing and resolving rejected or denied insurance claims to ensure healthcare providers receive proper reimbursement. Professionals in this role investigate the reasons for claim denials, appeal when necessary, and work with insurance companies to correct errors or discrepancies. They also identify patterns in denials to implement process improvements and reduce future claim rejections. Strong knowledge of medical billing, insurance policies, and coding guidelines is essential for success in this role.

What jobs make $3,000 a day?

In denials management, high-level roles such as senior claims managers or specialized healthcare reimbursement directors can earn around $3,000 daily, especially with extensive experience and certifications. These positions often require advanced knowledge of insurance policies, strong negotiation skills, and work in fast-paced healthcare or insurance environments. Such earnings are typically associated with executive-level or highly specialized roles rather than entry-level positions.

What does a denial management specialist do?

A denial management specialist reviews insurance claim denials to identify reasons for rejection and corrects errors to ensure proper reimbursement. They analyze claim data, communicate with insurance companies, and use billing software to resolve issues efficiently, often working in healthcare or insurance environments.

What are the most common challenges faced in Denials Management roles?

Professionals in Denials Management often encounter challenges such as navigating complex insurance policies, processing high volumes of claim denials, and keeping up with frequently changing payer requirements. Working in this role requires meticulous attention to detail and the ability to communicate effectively with both insurance companies and internal departments to resolve issues quickly. You may frequently collaborate with coding specialists, clinicians, and finance teams to gather documentation and appeal denials. Overcoming these challenges not only helps recover lost revenue but also improves overall workflow efficiency within the organization.

What are the most commonly searched types of Denials Management jobs in Virginia? The most popular types of Denials Management jobs in Virginia are:
What are popular job titles related to Denials Management jobs in Virginia? For Denials Management jobs in Virginia, the most frequently searched job titles are:
Infographic showing various Denials Management job openings in Virginia as of July 2026, with employment types broken down into 17% Locum Tenens, 1% As Needed, 71% Full Time, 6% Part Time, 1% Contract, and 4% Summer. Highlights an 83% Physical, 3% Hybrid, and 14% Remote job distribution, with an average salary of $48,466 per year, or $23.3 per hour.
Manager, Enterprise Professional Coding Denials

Manager, Enterprise Professional Coding Denials

University of Virginia

Charlottesville, VA • On-site

$110K - $138K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 16 days ago


University Of Virginia rating

7.9

Company rating: 7.9 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

204th of 611 rated colleges and universities


Job description

The Manager - Enterprise Professional Coding Denials is responsible for leading UVA Health's professional coding denial prevention and resolution initiatives. This role oversees the full lifecycle of professional claim denials, ensuring appropriate coding, accurate reimbursement, and compliance with payer guidelines. The Denials Manager collaborates across the health system-including providers, coders, educators, clinical departments, and revenue cycle teams-to reduce avoidable denials, strengthen appeal strategies, and support organizational revenue integrity efforts.
This position serves as UVA Health's subject matter expert for professional coding-related denials as well as payer policy interpretation and compliance and plays a key role in performance improvement within a complex academic medical environment.
This Manager role will establish and lead a centralized function responsible for:
  • Oversight of professional coding-related denials across the Enterprise, including root cause analysis and resolution strategies
  • Development and standardization of denial prevention workflows and appeal processes
  • Identification of trends and collaboration with coding, education, CDI, and revenue cycle teams to address underlying issues
  • Monitoring denial performance metrics and driving data-informed improvement initiatives
  • Providing leadership and structure as denial-focused resources are formalized and expanded

This position ensures focused accountability for denial performance, strengthens alignment across coding and revenue cycle operations, and supports organizational goals related to revenue integrity and reimbursement optimization.
Candidates should be able to demonstrate:
  • Expert knowledge of ICD-10-CM, CPT, HCPCS coding; Medicare and commercial payer rules and guidelines; and adjudication and appeals processes.
  • Experience interpreting EOBs, remittance advice codes, payer policies, and medical billing workflows.
  • Knowledge of revenue integrity, charge capture, and CDI concepts.
  • Excellent analytical, organizational, and communication skills.
  • Proficiency using dashboards or reporting tools (e.g., Excel, Power BI, Tableau).
  • Experience using an EMR and billing platform (EPIC strongly preferred).
  • Experience leading denials prevention initiatives and managing denial workflows in an academic medical center or large integrated healthcare system strongly preferred.

MINIMUM REQUIREMENTS:
Education: Bachelor's degree required. Significant (4+ years) experience beyond the required experience indicated below may be accepted in lieu of the Bachelor's degree
Experience: 7+ years of previous coding experience, to include 2+ years of formal management experience required. Strong preference for formal management experience in revenue cycle operations, professional coding, or denials management
Licensure: Active coding certification through either AHIMA or AAPC required; CPB preferred
PHYSICAL DEMANDS:
This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally requires traveling some distance to attend meetings, and programs.
The pay range for this role is $110,000.00 - $138,432.00 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.
Benefits
  • Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
  • Paid Time Off, Long-term and Short-term Disability, Retirement Savings
  • Health Saving Plans, and Flexible Spending Accounts
  • Certification and education support
  • Generous Paid Time Off

UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children's is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.
The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA's commitment to non-discrimination and equal opportunity employment .

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About University of Virginia

Sourced by ZipRecruiter

The University of Virginia is distinctive among institutions of higher education. Founded by Thomas Jefferson in 1819, the University sustains the ideal of developing, through education, leaders who are well-prepared to shape the future of the nation.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Charlottesville, VA, US

Year founded

1819